Individual
DR. ROBERT DEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3505 COOLIDGE RD, EAST LANSING, MI 48823-6377
(517) 349-5987
Mailing address
PO BOX 342, OKEMOS, MI 48805-0342
(517) 349-5987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680-C3-4617
PIN NUMBER
MI
Enumeration date
05/23/2007
Last updated
01/28/2016
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